JOE ANTHONY BOLANOS
NPI 1750037552
Physician Assistant in Los Angeles, CA

Active since March 01, 2022PECOS EnrolledAccepts Medicare Assignment
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 562-4800 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joe Anthony Bolanos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOE ANTHONY BOLANOS (NPI 1750037552) is an individual physician assistant in Los Angeles, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750037552
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOE ANTHONY BOLANOS
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
NPI 1750037552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1731 E 120TH ST, Los Angeles, CA 90059

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joe Anthony Bolanos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911366646
PECOS Enrollment IDI20230628004051
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joe Bolanos's NPI number?

The NPI number for Joe Bolanos is 1750037552. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Joe Bolanos located?

Joe Bolanos practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 562-4800.

What is Joe Bolanos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joe Bolanos enrolled in Medicare?

Yes. Joe Bolanos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joe Bolanos was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.